20 results on '"Levenson R"'
Search Results
2. D4 Dopamine receptor genes of zebrafish and effects of the antipsychotic clozapine on larval swimming behaviour
- Author
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Boehmler, W., primary, Carr, T., additional, Thisse, C., additional, Thisse, B., additional, Canfield, V. A., additional, and Levenson, R., additional
- Published
- 2006
- Full Text
- View/download PDF
3. Patients, carers and staff: talking to each other to improve health-care service delivery
- Author
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Lamont, L, primary and Levenson, R, additional
- Published
- 2001
- Full Text
- View/download PDF
4. ChemInform Abstract: PREPARATION OF THE GROUP VI PENTACARBONYL NITRATES
- Author
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CIHONSKI, J. L., primary and LEVENSON, R. A., additional
- Published
- 1975
- Full Text
- View/download PDF
5. ChemInform Abstract: ELECTRONIC STRUCTURES AND SPECTRA OF TRINUCLEAR CARBONYL COMPLEXES
- Author
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TYLER, D. R., primary, LEVENSON, R. A., additional, and GRAY, H. B., additional
- Published
- 1979
- Full Text
- View/download PDF
6. ChemInform Abstract: CROWN ETHERS IN INORGANIC CHEMISTRY. PREPARATION OF MONOHALIDE DERIVATIVES OF MANGANESE CARBONYL
- Author
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CIHONSKI, J. L., primary and LEVENSON, R. A., additional
- Published
- 1976
- Full Text
- View/download PDF
7. ChemInform Abstract: PHOTOCHEMICAL REACTION OF A CONJUGATED DIACETYLENE WITH IRON PENTACARBONYL, PREPARATION AND STRUCTURE OF TETRACARBONYL(2‐METHYL‐3‐PROP‐1‐YNYLMALEOYL)IRON(0)
- Author
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PETERSEN, R. C., primary, CIHONSKI, J. L., additional, YOUNG, F. R. III, additional, and LEVENSON, R. A., additional
- Published
- 1975
- Full Text
- View/download PDF
8. ChemInform Abstract: PHOTOCHEMICAL SYNTHESIS OF TETRAETHYLAMMONIUM μ-TRICHLOROHEXACARONYLDIMANGANESE
- Author
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CIHONSKI, J. L., primary, WALKER, M. L., additional, and LEVENSON, R. A., additional
- Published
- 1976
- Full Text
- View/download PDF
9. Pilot study of fluorescence imitating brightfield imaging for rapid, slide-free dermatopathology.
- Author
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Engel TN, Abraham TM, Morningstar T, Fung MA, Rangchi A, Kiuru M, Fereidouni F, and Levenson R
- Subjects
- Humans, Pilot Projects, Staining and Labeling, Epidermis, Paraffin, Microscopy methods
- Abstract
Background: Fluorescence imitating brightfield imaging (FIBI) is a novel alternative microscopy method that can image freshly excised, non-sectioned tissue. We examine its potential utility in dermatopathology by examining readily available specimens embedded in paraffin blocks., Methods: Nine skin samples embedded in paraffin blocks were superficially deparaffinized using xylene and ethanol and stained with H&E. FIBI captured tissue surface histopathology images using simple microscope optics and a color camera. We then applied deep-learning-based models to improve resemblance to standard H&E coloration and contrast. FIBI images were compared with corresponding standard H&E slides and concordance was assessed by two dermatopathologists who numerically scored epidermal and dermal structure appearance and overall diagnostic utility., Results: Dermatopathologist scores indicate that FIBI images are at least equivalent to standard H&E slides for visualizing structures such as epidermal layers, sweat glands, and nerves., Conclusion: Images acquired with FIBI are comparable to traditional H&E-stained slides, suggesting that this rapid, inexpensive, and non-destructive microscopy technique is a conceivable alternative to standard histopathology processes especially for time-sensitive procedures and in settings with limited histopathology resources., (© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2022
- Full Text
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10. Microscopy with ultraviolet surface excitation (MUSE): A novel approach to real-time inexpensive slide-free dermatopathology.
- Author
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Qorbani A, Fereidouni F, Levenson R, Lahoubi SY, Harmany ZT, Todd A, and Fung MA
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- Humans, Microscopy, Ultraviolet instrumentation, Microscopy, Ultraviolet methods, Paraffin Embedding, Dermis metabolism, Dermis pathology, Epidermis metabolism, Epidermis pathology, Staining and Labeling, Ultraviolet Rays
- Abstract
Traditional histology relies on processing and physically sectioning either frozen or formalin-fixed paraffin-embedded (FFPE) tissue into thin slices (typically 4-6 μm) prior to staining and viewing on a standard wide-field microscope. Microscopy using ultraviolet (UV) surface excitation (MUSE) represents a novel alternative microscopy method that works with UV excitation using oblique cis-illumination, which can generate high-quality images from the cut surface of fresh or fixed tissue after brief staining, with no requirement for fixation, embedding and histological sectioning of tissue specimens. We examined its potential utility in dermatopathology. Concordance between MUSE images and hematoxylin and eosin (H&E) slides was assessed by the scoring of MUSE images on their suitability for identifying 10 selected epidermal and dermal structures obtained from minimally fixed tissue, including stratum corneum, stratum granulosum, stratum spinosum, stratum basale, nerve, vasculature, collagen and elastin, sweat glands, adipose tissue and inflammatory cells, as well as 4 cases of basal cell carcinoma and 1 case of pseudoxanthoma elasticum deparaffinized out of histology blocks. Our results indicate that MUSE can identify nearly all normal skin structures seen on routine H&E as well as some histopathologic features, and appears promising as a fast, reliable and cost-effective diagnostic approach in dermatopathology., (© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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- 2018
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11. Post-contrast myocardial T(1) and ECV disagree in a longitudinal canine study.
- Author
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Koopmann M, Hong K, Kholmovski EG, Huang EC, Hu N, Ying J, Levenson R, Vijayakumar S, Dosdall DJ, Ranjan R, and Kim D
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- Animals, Dogs, Female, Longitudinal Studies, Male, Myocardium, Regression Analysis, Contrast Media, Extracellular Space metabolism, Magnetic Resonance Imaging
- Abstract
Both post-contrast myocardial T1 and extracellular volume (ECV) measurements have been associated with diffuse interstitial fibrosis. The cardiovascular magnetic resonance (CMR) field is migrating towards ECV, because it is largely insensitive to confounders that affect post-contrast myocardial T1 . Despite the theoretical advantages of myocardial ECV over post-contrast myocardial T1 , systematic experimental studies comparing the two measurements are largely lacking. We sought to measure the temporal changes in post-contrast myocardial T1 and ECV in an established canine model with chronic atrial fibrillation. Seventeen mongrel dogs, implanted with a pacemaker to induce chronic atrial fibrillation via rapid atrial pacing, were scanned multiple times for a total of 46 CMR scans at 3T. These dogs with different disease durations (0-22 months) were part of a separate longitudinal study aimed at studying the relationship between AF and pathophysiology. In each animal, we measured native and post-contrast T1 values and hematocrit. Temporal changes in post-contrast myocardial T1 and ECV, as well as other CMR parameters, were modeled with linear mixed effect models to account for repeated measurements over disease duration. In 17 animals, post-contrast myocardial T1 decreased significantly from 872 to 698 ms (p < 0.001), which corresponds to a 24.9% relative reduction. In contrast, ECV increased from 21.0 to 22.0% (p = 0.38), which corresponds to only a 4.5% relative increase. To partially investigate this discrepancy, we quantified collagen volume fraction (CVF) in post-mortem heart tissues of six canines sacrificed at different disease durations (0-22 months). CVF quantified by histology increased from 0.9 to 1.9% (p = 0.56), which agrees better with ECV than with post-contrast myocardial T1 . This study shows that post-contrast myocardial T1 and ECV may disagree in a longitudinal canine study. A more comprehensive study, including histologic, cardiac, and renal functional analyses, is warranted to test rigorously which CMR parameter (ECV or post-contrast myocardial T1 ) agrees better with CVF., (Copyright © 2014 John Wiley & Sons, Ltd.)
- Published
- 2014
- Full Text
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12. Tracking emotional valence: the role of the orbitofrontal cortex.
- Author
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Goodkind MS, Sollberger M, Gyurak A, Rosen HJ, Rankin KP, Miller B, and Levenson R
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- Aged, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Middle Aged, Brain Mapping, Cerebral Cortex physiology, Emotions physiology, Neurodegenerative Diseases physiopathology, Neurodegenerative Diseases psychology
- Abstract
Successful navigation of the social world requires the ability to recognize and track emotions as they unfold and change dynamically. Neuroimaging and neurological studies of emotion recognition have primarily focused on the ability to identify the emotion shown in static photographs of facial expressions, showing correlations with the amygdala as well as temporal and frontal brain regions. In this study, we examined the neural correlates of continuously tracking dynamically changing emotions. Fifty-nine patients with diverse neurodegenerative diseases used a rating dial to track continuously how positive or how negative the character in a film clip felt. Tracking accuracy was determined by comparing participants' ratings with the ratings of 10 normal control participants. The relationship between tracking accuracy and regional brain tissue content was examined using voxel-based morphometry. Low tracking accuracy was primarily associated with gray matter loss in the right lateral orbitofrontal cortex (OFC). Our finding that the right OFC is critical to the ability to track dynamically changing emotions is consistent with previous research showing right OFC involvement in both socioemotional understanding and modifying responding in changing situations., (Copyright © 2011 Wiley Periodicals, Inc.)
- Published
- 2012
- Full Text
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13. Expression of GPR177 (Wntless/Evi/Sprinter), a highly conserved Wnt-transport protein, in rat tissues, zebrafish embryos, and cultured human cells.
- Author
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Jin J, Morse M, Frey C, Petko J, and Levenson R
- Subjects
- Animals, Brain cytology, Brain metabolism, Cells, Cultured, Gene Knockdown Techniques, HEK293 Cells, Humans, Intracellular Signaling Peptides and Proteins genetics, Mice, Rats, Rats, Sprague-Dawley, Receptors, G-Protein-Coupled genetics, Tissue Distribution, Wnt Proteins genetics, Zebrafish genetics, Zebrafish Proteins genetics, Intracellular Signaling Peptides and Proteins metabolism, Receptors, G-Protein-Coupled metabolism, Wnt Proteins metabolism, Zebrafish embryology, Zebrafish metabolism, Zebrafish Proteins metabolism
- Abstract
GPR177 is an evolutionarily conserved transmembrane protein necessary for Wnt protein secretion. Little is currently known, however, regarding expression of GPR177, especially in vertebrate species. We have developed an antiserum against GPR177, and used it to examine expression of GPR177 in human tissue culture cells, adult mouse, and rat tissues, as well as developing zebrafish embryos. In rodents, GPR177 is expressed in virtually all tissue types and brain regions examined. In zebrafish, GPR177 polypeptides are expressed throughout embryogenesis, and are detectable as early as 1 hr post-fertilization. In situ hybridization analysis reveals that gpr177 mRNA expression is prominent in embryonic zebrafish brain and ear. Structural studies suggest that GPR177 is modified by N-linked sugars, and that the protein contains an even number of transmembrane segments. The relatively ubiquitous expression of GPR177 suggests that this protein may serve to regulate Wnt secretion in a variety of embryonic and adult tissue types., (Developmental Dynamics 239:2426-2434, 2010. © 2010 Wiley-Liss, Inc.)
- Published
- 2010
- Full Text
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14. Ptena and ptenb genes play distinct roles in zebrafish embryogenesis.
- Author
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Croushore JA, Blasiole B, Riddle RC, Thisse C, Thisse B, Canfield VA, Robertson GP, Cheng KC, and Levenson R
- Subjects
- Amino Acid Sequence, Animals, Computational Biology, DNA Primers, DNA, Complementary genetics, Embryo, Nonmammalian metabolism, In Situ Hybridization, Molecular Sequence Data, Oligonucleotides, Antisense, PTEN Phosphohydrolase genetics, Phosphoprotein Phosphatases genetics, Reverse Transcriptase Polymerase Chain Reaction, Sequence Analysis, DNA, Signal Transduction genetics, Zebrafish genetics, Zebrafish Proteins genetics, Gene Expression, PTEN Phosphohydrolase metabolism, Phosphoprotein Phosphatases metabolism, Signal Transduction physiology, Zebrafish embryology, Zebrafish Proteins metabolism
- Abstract
PTEN is a tumor suppressor gene associated with multiple tumor types. PTEN function is essential for early embryonic development and is involved in the regulation of cell size, number, and survival. By dephosphorylating PIP(3), PTEN normally acts to inhibit the PI3-Kinase/AKT pathway. Here we have identified two zebrafish orthologs, ptena and ptenb, of the single mammalian PTEN gene and analyzed the role of these genes in zebrafish development. Ptena transcripts were expressed throughout the embryo at early somitogenesis. By 24 hpf, expression was predominant in the central nervous system, axial vasculature, retina, branchial arches, ear, lateral line primordium, and pectoral fin bud. Ptenb was also ubiquitously expressed early in somitogenesis, but transcripts became more restricted to the somites and central nervous system as development progressed. By 48 hpf, ptena and ptenb were expressed predominantly in the central nervous system, branchial arches, pectoral fins, and eye. Antisense morpholinos were used to knock down translation of ptena and ptenb mRNA in zebrafish embryos. Knockdown of either pten gene caused increased levels of phosphorylated Akt in morphant embryos, indicating that Ptena and Ptenb each possess PIP(3) lipid phosphatase activity. Ptena morphants had irregularities in notochord shape (73%), vasculogenesis (83%), head shape (72%), and inner ear development (59%). The most noticeable defects in ptenb morphants were upward hooked tails (73%), domed heads (83%), and reduced yolk extensions (90%). These results indicate that ptena and ptenb encode functional enzymes and that each pten gene plays a distinct role during zebrafish embryogenesis., (Copyright 2005 Wiley-Liss, Inc.)
- Published
- 2005
- Full Text
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15. Evolution and expression of D2 and D3 dopamine receptor genes in zebrafish.
- Author
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Boehmler W, Obrecht-Pflumio S, Canfield V, Thisse C, Thisse B, and Levenson R
- Subjects
- Amino Acid Sequence, Animals, Central Nervous System metabolism, Chromosome Mapping, Conserved Sequence, Embryo, Nonmammalian, Exons, Genetic Linkage, Humans, Introns, Molecular Sequence Data, Phylogeny, Protein Structure, Tertiary, Receptors, Dopamine D2 chemistry, Receptors, Dopamine D3, Sequence Homology, Amino Acid, Somites metabolism, Synteny, Tissue Distribution, Evolution, Molecular, Receptors, Dopamine D2 genetics, Receptors, Dopamine D2 metabolism, Zebrafish genetics
- Abstract
We mined the zebrafish genomic sequence database and identified contigs containing segments of several dopamine receptor genes. By using a polymerase chain reaction amplification strategy, we generated full-length cDNAs encoding a single dopamine D3 receptor and three distinct D2 receptor subtypes. Zebrafish dopamine receptor genes were mapped by using the T51 radiation hybrid panel. The D3 receptor gene (drd3) mapped to linkage group (LG) 24. The three D2 receptor genes were localized to LG 15 (drd2a), LG 16, (drd2b), and LG 5 (drd2c). With the exception of the drd2b gene, each of these map positions was syntenic with regions of human chromosomes containing orthologs of the zebrafish dopamine receptor genes. Whole-mount in situ hybridization was used to investigate expression of the D2 and D3 receptor genes. Expression of the drd3 gene was first detected at mid-somitogenesis and was particularly prominent in somites. Thereafter, the drd3 gene was expressed diffusely throughout the brain and spinal cord. The three D2 receptor genes were expressed throughout the central nervous system (CNS) in distinct but overlapping patterns. In early embryos, the drd2a gene was expressed exclusively in the epiphysis, whereas the drd2c gene was localized to the notochord. After 24 hpf, the drd2a, drd2b, and drd2c genes were differentially expressed throughout the CNS. The identification of dopamine receptor genes in zebrafish should allow us to use the power of zebrafish genetics to analyze the functional properties of this important class of neurotransmitter receptors., (Copyright 2004 Wiley-Liss, Inc.)
- Published
- 2004
- Full Text
- View/download PDF
16. Diagnostic classification of urothelial cells in urine cytology specimens using exclusively spectral information.
- Author
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Jaganath R, Angeletti C, Levenson R, and Rimm DL
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- Cytodiagnosis methods, Humans, Image Processing, Computer-Assisted, Sensitivity and Specificity, Spectrum Analysis, Urinalysis, Urinary Bladder Neoplasms urine, Urinary Bladder Neoplasms diagnosis, Urine cytology, Urothelium pathology
- Abstract
Background: Although cytologic evaluation of urine specimens is a standard procedure in the diagnosis and follow-up of bladder carcinoma, its sensitivity and specificity are low. Cytopathologic diagnoses are driven primarily by spatial relations or morphology. Although color enhances the pathologist's perception of the specimen, spectral information plays a minimal role in diagnostic processes. Recently, methods have been developed to capture and analyze spectral information from clinical specimens. In the current study, the authors determined the classification value of spectral information by testing its ability to discriminate between malignant and benign urothelial cells in cytology specimens., Methods: Multiple images of benign urothelial cells (n = 39) and urothelial carcinoma cells (n = 35) were collected at serial wavelengths using a liquid crystal tunable optical filter and composited into a mosaic using ENVI (Environment for Visualizing Images) software. Through minimum noise fractionation and principal component analysis, the spectral information in the mosaic was compressed into a 29-dimensional scatter plot. The data generated were analyzed using visual and spectral end member extraction on both the original data set and a second independent data set (test set)., Results: One area of spectral clustering in the scatter plot segmented with carcinoma cells exclusively (100% specific), but was not present in every cell (approximately 50%), which may indicate that these spectral profiles are present in a subpopulation of malignant cells or at specific points of their cell cycle. Using ENVI algorithms, the authors found that a particular classification spectrum (end member 9) and its closest relatives identified malignant cell clusters, with a sensitivity and specificity that reached 82% and 81%, respectively. To validate this mechanism in a test set, a second mosaic comprised of 15 benign and 15 malignant clusters was analyzed using end member 9, resulting in a combined sensitivity and specificity of 73%., Conclusions: The results of the current study demonstrate that spectral information, in the complete absence of morphologic or spatial information, allows discrimination of benign and malignant urothelial cells in routine urine cytology specimens. The authors believe that this novel technology, combined with spatial analysis, has the potential to serve as an ancillary test for improved detection of bladder carcinoma., (Copyright 2004 American Cancer Society.)
- Published
- 2004
- Full Text
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17. Functional genomic dissection of multimeric protein families in zebrafish.
- Author
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Cheng KC, Levenson R, and Robishaw JD
- Subjects
- Animals, Heterotrimeric GTP-Binding Proteins genetics, Mice, Mice, Transgenic, Models, Genetic, Protein Subunits genetics, Signal Transduction, Sodium-Potassium-Exchanging ATPase genetics, Zebrafish Proteins classification, Genomics, Zebrafish genetics, Zebrafish Proteins genetics
- Abstract
The study of multimeric protein function in the postgenomicera has become complicated by the discovery of multiple isoforms for each subunit of those proteins. A correspondingly large number of potential isoform combinations offer the multicellular organism a constellation of protein assemblies from which to generate a variety of functions across different cells, tissues, and organs. At the same time, the multiplicity of potential subunit isoform combinations presents a significant challenge when attempting to dissect the functions of particular isoform combinations. Biochemical and cell culture methods have brought us to a significant state of understanding of multimeric proteins but are unable to answer questions of function within the context of the many tissues and developmental stages of the multicellular organism. Answering those questions can be greatly facilitated in model systems in which expression can be determined over time, in the context of the whole organism, and in which hypomorphic function of each subunit can be studied individually and in combination. Fortunately, the potential for high-throughput in situ hybridization studies and antisense-based reverse genetic knockdowns in zebrafish offers exciting opportunities to meet this challenge. Some of these opportunities, along with cautions of interpretation and gaps in the existing technologies, are discussed in the context of ongoing investigations of the dimeric Na,K-ATPases and heterotrimeric G proteins., (Copyright 2003 Wiley-Liss, Inc.)
- Published
- 2003
- Full Text
- View/download PDF
18. Differential expression of Na,K-ATPase alpha and beta subunit genes in the developing zebrafish inner ear.
- Author
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Blasiole B, Degrave A, Canfield V, Boehmler W, Thisse C, Thisse B, Mohideen MA, and Levenson R
- Subjects
- Animals, Body Patterning, Ear, Inner enzymology, Morphogenesis, Protein Subunits genetics, Zebrafish Proteins genetics, Ear, Inner embryology, Sodium-Potassium-Exchanging ATPase genetics, Zebrafish embryology
- Abstract
We have used whole-mount in situ hybridization to analyze Na,K-ATPase alpha and beta subunit gene expression in the developing zebrafish ear. Four alpha1-like (alpha1a.1, alpha1a.2, alpha1a.4, and alpha1a.5) and two beta (beta1a and beta2b) subunit genes are expressed in ear beginning at mid-somitogenesis. Each gene exhibits a distinct spatial and temporal expression pattern. The alpha1a.1 gene was ubiquitously expressed in the otic epithelium from mid-somitogenesis to 24 hr postfertilization (hpf). Expression of this gene was gradually reduced and by 48 hpf, alpha1a.1 transcripts were no longer detectable in the ear. The alpha1a.2 and alpha1a.5 genes were expressed in regions that correspond to the anterior macula, lateral crista, and semicircular canal projections up to 48 hpf. At later stages, expression of these genes was limited to cells in the dorsolateral septum and semicircular canal projections. alpha1a.4 and beta1a transcripts were ubiquitously expressed during ear development and were present in most otic tissues at 5 days postfertilization (dpf). Expression of the beta2b gene, on the other hand, was restricted to subsets of cells that form sensory epithelia. These results strongly suggest different functional roles for individual Na,K-ATPase genes in zebrafish ear development. Na,K-ATPase genes are likely to represent useful markers for the analysis of zebrafish otogenesis., (Copyright 2003 Wiley-Liss, Inc.)
- Published
- 2003
- Full Text
- View/download PDF
19. Two Na,K-ATPase beta 2 subunit isoforms are differentially expressed within the central nervous system and sensory organs during zebrafish embryogenesis.
- Author
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Rajarao JR, Canfield VA, Loppin B, Thisse B, Thisse C, Yan YL, Postlethwait JH, and Levenson R
- Subjects
- Animals, Central Nervous System enzymology, Chromosome Mapping, DNA, Complementary genetics, Embryo, Nonmammalian metabolism, Embryo, Nonmammalian ultrastructure, Evolution, Molecular, Ganglia, Sensory embryology, Ganglia, Sensory enzymology, Genes, Genetic Linkage, In Situ Hybridization, Isoenzymes genetics, Isoenzymes physiology, Molecular Sequence Data, Morphogenesis, Nerve Tissue Proteins genetics, Nerve Tissue Proteins physiology, Neurons enzymology, Organ Specificity, Protein Subunits, RNA, Messenger biosynthesis, Sense Organs enzymology, Sodium-Potassium-Exchanging ATPase genetics, Sodium-Potassium-Exchanging ATPase physiology, Zebrafish genetics, Zebrafish metabolism, Central Nervous System embryology, Gene Expression Regulation, Developmental, Isoenzymes biosynthesis, Nerve Tissue Proteins biosynthesis, Sense Organs embryology, Sodium-Potassium-Exchanging ATPase biosynthesis, Zebrafish embryology
- Abstract
We have identified cDNAs encoding a second zebrafish ortholog of the human Na,K-ATPase beta 2 subunit. The beta 2b cDNA encodes a 292 amino acid-long polypeptide with 74% identity to the previously characterized zebrafish beta 2a subunit. By using a zebrafish meiotic mapping panel, we determined that the beta 2b gene (atp1b2b) was tightly linked to markers on linkage group 5, whereas the beta 2a gene was located on linkage group 23. In situ hybridization analysis shows that in developing zebrafish embryos, atp1b2a and atp1b2b are predominantly expressed in the nervous system. beta 2a transcripts were abundantly expressed throughout brain as well as spinal cord neurons and lateral line ganglia. In contrast, beta 2b mRNA expression was primarily detected in sensory organs, including retina, otic vesicles, and lateral line neuromast cells. These results suggest that the beta 2a and beta 2b genes play distinct roles in developing brain and sensory organs, and raise the possibility that the functions encoded by the single mammalian beta 2 gene may be partitioned between the two zebrafish beta 2 orthologs., (Copyright 2002 Wiley‐Liss, Inc.)
- Published
- 2002
- Full Text
- View/download PDF
20. Do weighted nasoenteric feeding tubes facilitate duodenal intubations?
- Author
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Levenson R, Turner WW Jr, Dyson A, Zike L, and Reisch J
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Duodenum, Humans, Middle Aged, Prospective Studies, Random Allocation, Enteral Nutrition instrumentation, Intubation, Gastrointestinal instrumentation
- Abstract
A widely held assumption is that postpyloric intubations occur more often with weighted than with unweighted nasally inserted feeding tubes. This randomized, prospective study compared the frequency of duodenal intubations using weighted and unweighted nasoenteric feeding tubes. One hundred sixteen patients had either weighted (61 patients) or unweighted (55 patients) 10F silicone elastomer feeding tubes inserted nasally 85 cm. Tubes were placed with wire stylets. Tube positions were verified radiographically within 4 hr after insertions. Radiographs were repeated daily for 3 days or until duodenal intubation occurred. Successful duodenal intubations were achieved in 35 patients (57%) with weighted feeding tubes and in 37 patients (67%) with unweighted feeding tubes. This difference was not significant. Weighted nasoenteric feeding tubes offer no advantage over unweighted tubes in achieving duodenal intubations.
- Published
- 1988
- Full Text
- View/download PDF
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